Susan E Gallegos Dpm Pa | |
2082 Sw 164th Ave, Miramar, FL 33027-4475 | |
(305) 332-7142 | |
Not Available |
Full Name | Susan E Gallegos Dpm Pa |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 2082 Sw 164th Ave, Miramar, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891252607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Provider Name | Susan E Gallegos |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1992085641 PECOS PAC ID: 7911178298 Enrollment ID: I20110916000162 |
Mailing Address | Practice Location Address |
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Susan E Gallegos Dpm Pa 2082 Sw 164th Ave, Miramar, FL 33027-4475 Ph: (305) 332-7142 | Susan E Gallegos Dpm Pa 2082 Sw 164th Ave, Miramar, FL 33027-4475 Ph: (305) 332-7142 |
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